Medical Billing Salary

Brookings vs Watertown: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Brookings, SD and Watertown, SD. All figures are 2026 estimates projected from BLS 2025 data.

Brookings, SD
$15,091
$7.25/hr
Watertown, SD
$15,706
$7.55/hr

Side-by-Side Comparison

MetricBrookings, SDWatertown, SD
Median Salary$15,091$15,706
Hourly Rate$7.25$7.55
Entry Level (P10)$11,875$12,094
25th Percentile$13,310$13,659
75th Percentile$18,543$19,451
Top Earner (P90)$22,403$23,561
Total Employed46
Side-by-side bar chart comparing Brookings ($15,091) and Watertown ($15,706) medical billing and coding specialist salaries.BrookingsWatertownMedian Salary$15,091$15,706Entry Level (P10)$11,875$12,094Top Earner (P90)$22,403$23,561US Median $30,349

Verdict

Watertown, SD offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Brookings.

The salary gap between Brookings and Watertown is $615 (4.08%). Watertown's median is -48.25% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Brookings spans $10,528,Watertown spans $11,467. Watertown has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Brookings
P10 (Entry)$11,875
P25$13,310
Median$15,091
P75$18,543
P90 (Top)$22,403
Watertown
P10 (Entry)$12,094
P25$13,659
Median$15,706
P75$19,451
P90 (Top)$23,561

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Watertown ($16,925 effective) pays 4.08% more than Brookings ($16,262 effective).

Brookings
Nominal: $15,091
CoL Index: 92.8
Adjusted: $16,262
Watertown
Nominal: $15,706
CoL Index: 92.8
Adjusted: $16,925

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Brookings if…

  • You prefer the South Dakota area and lifestyle

Choose Watertown if…

  • Higher median salary ($15,706/year)
  • Better top-earner potential ($23,561)
  • Larger job market (6 employed)
  • Better purchasing power (CoL-adjusted: $16,925)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Brookings grew -60.9% from 2024 to 2025, compared to -60.9% growth in Watertown over the same period.

Brookings, SD

+-60.9%

$37,723 (2024) → $14,749 (2025)

Watertown, SD

+-60.9%

$39,262 (2024) → $15,350 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Brookings or Watertown?

Watertown has a higher median medical billing and coding specialist salary at $15,706/year, compared to Brookings at $15,091/year — a difference of $615 (4.08%).

What is the hourly rate difference between Brookings and Watertown?

Brookings medical billing and coding specialists earn $7.25/hr while Watertown hygienists earn $7.55/hr (2026 est.).

Should I relocate from Brookings to Watertown as a medical billing and coding specialist?

Consider more than just salary when comparing Brookings and Watertown. Factor in cost of living (CoL-adjusted: Brookings = $16,262, Watertown = $16,925), job availability (4 vs 6 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Brookings vs Watertown?

Entry-level (10th percentile) medical billing and coding specialists earn $11,875 in Brookings and $12,094 in Watertown. The Watertown area offers higher starting salaries.
AP

Written by Amina Patel, CPC

Career Analyst

Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov